Organization Active NPI

Fogartyjones LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Melville, NY
National Provider Identifier
1174384135
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FOGARTYJONES LLC
Practice address
445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone
(610) 972-9446
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurence Jones
Title
Cofounder
Phone
(610) 972-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645

Mailing address

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone (610) 972-9446

National Provider Directory

National Provider Directory

Locations

445 Broadhollow Rd
Ste 25
Melville, NY 11747
Phone (516) 807-8787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1174384135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "610-972-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "610-972-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGARTYJONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "610-972-9446"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.